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Online Enrolment

To enrol online, fill out the following form and press the Submit Button. A confirmation enrolment form will be mailed out to you within a few days.

Please Note: There is a $50 deposit per student to confirm your placement. This deposit can be made over the phone on (03) 9383 6055, or mailed by cheque to Omiros College, PO BOX 4311 Melbourne University Parkville VIC 3052.

We will contact you regarding this payment shortly after you submit your form.
 
Student's Details
Student's Name:
Student's Surname:
Gender:
Omiros Grade Level:
Omiros Campus:
Student's Day School:
Day School Level:
Date of Birth:
 
Family Details
Father's Name:
Father's Country of Birth:
Father's Occupation:
Mother's Name:
Mother's Country of Birth:
Mother's Occupation:
Street Address:
Suburb:
State:
Postcode:
Country:
Email Address:
Home Phone No:
Business Phone No:
Emergency Phone No:
Mobile Phone No:
Fax Number:
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